Migraine in children -childneuroconsult

Migraine in children :Does if affect children and does lifestyle matter?

Yes, Migraine does affect children. It affects 2% of five year olds and 18% of 13-14 year olds. Migraine in many children can go undiagnosed due to unawareness on the part of parents and sometimes doctors. This can lead to significant negative impact on the child’s social wellbeing, scholastic achievement and self-esteem.

Migraine in children


Migraine in children differs from that in adults in many ways. The migraine attack in children is shorter and usually involves nausea and vomiting. Excitement, stress and anxiety can trigger an attack. This is evident by the fact that children tend to have increased attacks of migraine headaches before and during exams. Children with migraine tend to take many days off school. Unlike, Diabetes and asthma, school staff are not well aware of this condition in children. If symptomatic treatment for headaches is not given at the start of migraine, it results in longer and more painful attack.

What are the symptoms of migraine?

migraine-symptoms-in-children

Migraine is more than a usual headache. The child may vomit and have aversion to light and noise during the attack. He or she may want to lie down and switch off all the lights before going to sleep. Sleep usually makes one feel better. Sometimes, migraines are preceded by an aura. The child feels strange, has problems with speech, and sees patterns of lights or lines. These symptoms may last up to an hour, followed by the typical migraine. Sometimes, the aura may present by itself with no migraine symptoms.

Migraines can be debilitating and can cause deterioration in a child’s productivity and learning. Prevention of migraines is the best form of management. Firstly, triggers have to be identified. Triggers are different for everyone and more than one trigger may actually cause a migraine for an individual. It is of utmost important to keep a diary and make a note of the events that have occurred before your migraine, including the intensity and duration of the attack. Once you start to identify constant triggers associated with your migraine, you will also learn to manage them better.

What causes a migraine?

The common triggers in your life that may initiate or contribute to your migraine are your daily routine, stress, eating, drinking, exams, menstrual periods, hormonal changes, exercise, computers, drugs, alcohol and contraception.
Your headache diary will help you identify the ones that are contributing to your migraine.

Keeping a constant routine in your day helps reduce migraine attacks. However, it is difficult to achieve this in the adolescent’s life which includes college, friends, homework, parties and sports. Your diary will help identify the change in routines that trigger your migraine. This may be, missing breakfast or sleeping late at night. You should try and maintain your usual meal times and do not skip meals. Certain foods like cheese, chocolate and coffee may be contributing or triggering your headaches. Your diary will help you identify these and avoid them appropriately. You should be drinking at least 1.5 litres of clean water every day. Dehydration is one of the major causes of headaches and is one of the most common triggers. Stress can trigger headaches and this is common in teenagers. If you are stressed, you should talk to someone about it. This may be your parents, friends or teachers. Organizing your day and getting help from your close ones may help reduce your stress and thereby the frequency of your headaches. Exam times are very stressful to most. Its best to plan your studying times and make sure you’ve got breaks in the plan. If you are using the computer, it’s best to get away from it for 15 minutes before coming back to it. Sometimes your migraine may start after a routine of exercise; exercising regularly and making it a part of your daily routine can reduce this. Remember to drink plenty of water during exercises. Teenagers go through a really difficult time as they pass through puberty. During this period the hormones are all over the place. Girls usually have increased symptoms before or during their menstrual period and this can be identified using a headache diary. Once a link has been identified, they could prepare themselves for these typical headaches and control them better. An important aspect of a teenager’s life is their lifestyle for pleasure and entertainment. Use of alcohol, cigarettes and illegal drugs pose a major health risk along with being a potent trigger for severe migraine headaches. Late nights, poor sleep hygiene and erratic routine can all contribute to migraine in a significant way.

Migraine Treatment

Migraine in children -medicines

Its best to try stopping your attack early if you feel a migraine attack coming. Inform your parents, friends or teacher about your pending attack. Go to a quiet room and lie down. You could take an analgesic like paracetomol or ibuprofen early. Try and sleep for at least a few minutes, this will help you feel better.

There are a number of medications that can be used for prevention of your headaches but they are not guaranteed to work. These can be taken on prescription from your paediatrician. There is an array of medications that can help reduce your headache duration and intensity once it sets in. This is known as ‘symptomatic’ treatment. However, the first and the best way to reduce the impact of migraine on your life is to adjust your lifestyle.

Once you have identified your triggers with the help of the headache diary. You could make simple changes to your lifestyle, which may make your attacks happen less often. This will make ‘you’ feel in control of your life and not your ‘migraine’.

Dr. Arif Khan is a British Board certified Consultant Pediatric Neurologist. He is currently the CEO/Medical Director and Founder of Neuropedia Children’s Neuroscience Center in Dubai and is also an Associate Professor (Adj) at Mohammed Bin Rashid University, Dubai.He is a visiting Consultant Pediatric Neurologist at King's College Hospital Dubai. He is also the Director of Pediatric Neuroscience at Burjeel Medical City, Abu Dhabi. He founded and developed the first comprehensive children’s neuroscience center in the region called Neuropedia. It has now successfully completed 3 years of service to the regional population and has extensive plans to reach out to Northern Emirates. Dr. Khan had been working as a Consultant Pediatric Neurologist at the University Hospitals of Leicester and has been the lead clinician for complex epilepsies, vagal nerve stimulation service and ketogenic diet in the region. He also worked as Head of Children’s Services at American Center for Psychiatry and Neurology, UAE prior to his current assignments. He is an avid writer, authoring more than 40 peer-reviewed and public health publications. He has recently authored a book called Pediatrics – A clinical handbook. His professional memberships include fellowship of the royal college of pediatrics and child health, core member of the European pediatric neurology society and member of the British Pediatric Neurology Association. He has been a lecturer for medical students at the University Hospital of Leicester and has been teaching on the national training courses like pediatric epilepsy training course. He is also an accredited examiner for the Royal College of Pediatrics and Child Health.

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